Journal
SEMINARS IN PLASTIC SURGERY
Volume 29, Issue 1, Pages 40-47Publisher
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0035-1544169
Keywords
upper extremity trauma; peripheral nerve injury; nerve transfer; processed nerve allograft; nerve conduit; mutilating injury of the hand
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Peripheral nerve injuries are common in the setting of complex upper extremity trauma. Early identification of nerve injuries and intervention is critical for maximizing return of function. In this review, the principles of nerve injury, patient evaluation, and surgical management are discussed. An evidence-based approach to nerve reconstruction is reviewed, including the benefits and limitations of direct repair and nerve gap reconstruction with the use of autografts, processed nerve allografts, and conduits. Further, the principles and indications of commonly used nerve transfers in proximal nerve injuries are also addressed.
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